Prostate-sparing conservative management of a solitary fibrous tumor of the prostate: A case report

Prostate-sparing conservative management of a solitary fibrous tumor of the prostate: A case report

Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms with variable malignancy potential.We report a 69-year-old man with elevated PSA and an asymptomatic pelvic solid mass (42 × 32 × 48 mm), found on imaging between the bladder and anterior prostate. CT-guided biopsy confirmed an intermedia...

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Bibliographic Details
Main Authors: Ludovica Cella, Beatrice Gatti, Salvatore Renne, Ferdinando Cananzi, Giuseppe Ferrillo, Paolo Casale, Pier Giuseppe Colombo, Giovanni Lughezzani
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Urology Case Reports
Subjects:
Prostate solitary fibrous tumor
Pelvic solitary fibrous tumor
Prostate-sparing
Conservative management
Mesenchymal neoplasm
Online Access:http://www.sciencedirect.com/science/article/pii/S221444202500169X
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Summary:Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms with variable malignancy potential.We report a 69-year-old man with elevated PSA and an asymptomatic pelvic solid mass (42 × 32 × 48 mm), found on imaging between the bladder and anterior prostate. CT-guided biopsy confirmed an intermediate/low-risk SFT per WHO 2020. The lesion was successfully removed via robotic prostate-sparing surgery.Accurate histopathological diagnosis is key to avoid overtreatment, as SFTs can mimic more aggressive tumors. Complete excision offers good prognosis, though long-term follow-up is warranted due to potential for recurrence or progression.
ISSN:2214-4420

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